TARA MARIE CRISTALLO
NPI 1275274532
Student in an Organized Health Care Education/Training Program in Denver, CO

Active since April 02, 2022
777 BANNOCK ST # MC0108, DENVER, CO 80204(303) 602-5193 Get Directions Write a Review

NPPES record last updated: April 2, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 2, 2023, Mar 19, 2023 (2 updates tracked since 2023).

About Tara Marie Cristallo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TARA MARIE CRISTALLO (NPI 1275274532) is an individual student in an organized health care education/training program in Denver, Colorado, licensed in Colorado (TL.0009615) and active in the NPI registry since April 2022. She maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1275274532
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameTARA MARIE CRISTALLO
Location Address777 BANNOCK ST # MC0108Denver, CO 80204-4507
Mailing Address777 Bannock St # Mc0108Denver, CO 80204-4597 · (303) 602-5193
Sole ProprietorYes
Enumeration DateApril 2, 2022
Last NPPES UpdateApril 2, 20232 updates tracked since enumeration
NPPES CertifiedApril 2, 2023
NPI 1275274532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in CO · TL.0009615
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
777 BANNOCK ST # MC0108, Denver, CO 80204

Secondary Practice Location 1

Location 11959 NE Pacific St Ste A-300Seattle, WA 98195-0001 · Phone (206) 543-7212

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
777 BANNOCK ST # MC0108
DENVER, CO 80204
Emergency Medicine
777 BANNOCK ST # MC0108
DENVER, CO 80204
Emergency Medicine
777 BANNOCK ST # MC0108
DENVER, CO 80204
Student in an Organized Health Care Education/Training Program
777 BANNOCK ST # MC0108
DENVER, CO 80204
Student in an Organized Health Care Education/Training Program
777 BANNOCK ST # MC0108
DENVER, CO 80204
Emergency Medicine
777 BANNOCK ST # MC0108
DENVER, CO 80204
Emergency Medicine
777 BANNOCK ST # MC0108
DENVER, CO 80204
Student in an Organized Health Care Education/Training Program
777 BANNOCK ST # MC0108
DENVER, CO 80204

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tara Cristallo's NPI number?

The NPI number for Tara Cristallo is 1275274532. It was assigned to this individual provider in the NPPES registry on April 2, 2022.

Where is Tara Cristallo located?

Tara Cristallo practices at 777 Bannock St # Mc0108, Denver, CO 80204. The listed phone number is (303) 602-5193.

What is Tara Cristallo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Tara Cristallo was last updated on April 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.